MS, Neurology FAQ - Page 60

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Understanding Nerve Damage and Recovery After Rhabdomyolysis

Numbness and weakness in the legs? Hello, doctor. On October 8th of this year, I drank too much at a social gathering and fell asleep on the floor. I woke up the next afternoon with my entire right leg feeling numb. I initially thought it would get better quickly, but I went to t...


Dr. Jiang Junyi Reply:
Hello Mr. Chang: You mentioned that "the doctor said it takes time to repair the nerves, and currently, I am undergoing rehabilitation and taking B12, but it has been two months since the incident... will treatment help me recover faster?" The symptoms seem more like ne...

[Read More] Understanding Nerve Damage and Recovery After Rhabdomyolysis


Understanding Unilateral Eye Closure Issues: Causes and Next Steps

Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...


Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...

[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps


Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice

Numbness of the tongue accompanied by facial flushing? Recently, about an hour after dinner, while doing aerobic exercise at home, I suddenly experienced numbness in my tongue, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, after which I...


Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "suddenly my tongue went numb, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, which improved a bit, but the numbness in my tongue is severe, making it difficult to speak." I would like to know...

[Read More] Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice


Understanding Dizziness, Headaches, and Nausea: Possible Causes

Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...


Dr. Jiang Junyi Reply:
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...

[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes


Understanding Leg Numbness and Back Pain After an Accident

Numbness in the legs and lower back pain? Hello doctor, I was involved in a car accident at the beginning of last month where a vehicle hit me while I was walking. I fell and sustained bruising and contusions on my knee. I can walk normally now, but I occasionally experience numb...


Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Ning, You mentioned that "the outer side of your right thigh occasionally feels numb, whether you are standing, sitting, or lying down." This may indicate compression of the nerve roots at the second and third lumbar vertebrae. Additionally, it could be ...

[Read More] Understanding Leg Numbness and Back Pain After an Accident


Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues

Vague sensations of hand numbness? Hello Doctor, I have recently been experiencing a tingling and discomfort in my left hand fingers. Initially, it was a burning sensation in my ring and little fingers, and later the other three fingers on my left hand also started to feel numb, ...


Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned that "the other three fingers of my left hand also started to feel numb, and there is some weakness in my hand. I visited a rehabilitation specialist who said it is ulnar nerve compression." If it is ulnar nerve compression, it typically rel...

[Read More] Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues


Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions

I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...


Dr. Jiang Junyi Reply:
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...

[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions


Understanding Dizziness: When to Seek Neurological Evaluation

I feel a bit dizzy? About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has impr...


Dr. Cai Zongzhang Reply:
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.

[Read More] Understanding Dizziness: When to Seek Neurological Evaluation


Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?

Can treating sympathetic nervous system abnormalities help in the treatment of allergic rhinitis? I believe I have vasomotor rhinitis, which has not improved. Medical reports indicate that the pathogenesis of chronic rhinitis is related to the autonomic nervous system. Both "...


Dr. Cai Zongzhang Reply:
Hello, Mr. Li: It is recommended to undergo desensitization therapy and to minimize external stimuli in daily life. You may consider visiting a neurology or otolaryngology clinic for treatment.

[Read More] Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?


Can My Mother Restart Madopar for Parkinson's Symptoms?

Parkinson's disease Hello Dr. Hong, my mother is 78 years old and has been diagnosed with Parkinson's disease and dementia for 5 years. Initially, she was prescribed Madopar 250, taking one tablet three times a day, but she only took it for about a month. After that, sh...


Dr. Hong Weibin Reply:
Hello: It is advisable to continue the medication, starting with a low dose, such as 0.25 to 0.5 pills three times a day, and then observe if there is any improvement in gait. Additionally, it may be necessary to clarify the reasons why your mother was previously reluctant to tak...

[Read More] Can My Mother Restart Madopar for Parkinson's Symptoms?


Understanding Nerve Sensations After Injections: Causes and Concerns

Numbness in the leg after an injection? Hello, doctor. A neurosurgeon administered glucose prolotherapy to me, injecting it into the back of my knee. During the injection, it stimulated a nerve, causing my calf to go numb all the way to the sole of my foot. I reported this to the...


Dr. Jiang Junyi Reply:
Hello Ms. Mi: You mentioned that "it only takes about 30 seconds to trim my toenails while bending my knees, and when I stretch my legs, I feel a tingling sensation in the soles of my feet." Your symptoms seem to be posture-related, and it may be worth considering perip...

[Read More] Understanding Nerve Sensations After Injections: Causes and Concerns


Understanding Head Tremors: Causes and Treatment Options for Women in Menopause

Head tremors My mother is 49 years old and started experiencing head tremors accompanied by emotional agitation and shortness of breath three months ago. She has been receiving treatment from both a neurologist and a psychiatrist for two months. During this time, she also visited...


Dr. Jiang Junyi Reply:
Hello: You mentioned that "the position of the chin resembles the location of the hyoid muscle, with a shaking frequency and head tremors." There are many reasons that can cause such symptoms, which are referred to as tremors. 1. Physiological tremors: These do not oc...

[Read More] Understanding Head Tremors: Causes and Treatment Options for Women in Menopause


Persistent Headaches After Vaccination: When to Seek Medical Attention?

I have been experiencing a persistent headache for four days after receiving the vaccine? Hello doctor, after receiving the second dose of the AZ vaccine on November 18, I experienced no symptoms and felt fine. However, four days later, I started having headaches, chest tightness...


Dr. Jiang Junyi Reply:
Dear Ms. Selene, You mentioned experiencing intermittent sharp and dull pain in the right occipital region, along with working over 8 hours a day on the computer. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the tr...

[Read More] Persistent Headaches After Vaccination: When to Seek Medical Attention?


Evening Dizziness: Causes and Solutions for Nighttime Symptoms

Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...


Dr. Hong Weibin Reply:
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...

[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms


Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions

I was prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system disorder. However, after stopping the medication, my insomnia hasn't improved. What should I do? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I ha...


Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: It is recommended to visit a neurologist to check for any abnormalities in neurological function.

[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions


Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained

Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. Recently, I've been experiencing some symptoms that are concerning me. I've been feeling frequently fatigued, just wanting to sleep, and having difficulty concentrating. Additionally, I have less control ove...


Dr. Jiang Junyi Reply:
Hello Mr. Ju: You mentioned that you have been feeling fatigued lately, often wanting to sleep, unable to concentrate, and having difficulty controlling your left little finger. These symptoms do not resemble those of motor neuron disease. The term "amyotrophic lateral scler...

[Read More] Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained


Understanding Eyelid Twitching: Causes, Remedies, and When to Worry

Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...


Dr. Jiang Junyi Reply:
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...

[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry


Understanding Pain Above the Eyebrows: Possible Causes and Solutions

Pain in the area above both eyebrows? Hello Dr. Jiang: I have been experiencing pain in the area of my eyebrows for the past 2-3 days. It hurts when I press on it. Do you have any solutions, Dr. Jiang?


Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the area above both eyebrows hurts, and it is painful when pressed." If tapping causes a dull pain, it may be worth considering inflammation of the frontal sinuses due to sinusitis. In daily life, it is advisable to avoid dry and cold ...

[Read More] Understanding Pain Above the Eyebrows: Possible Causes and Solutions


Is Pituitary Tumor Considered a Cerebrovascular Disease?

Pituitary adenomas are not classified as cerebrovascular diseases? Is a pituitary adenoma considered a type of cerebrovascular disease? For individuals who have had this condition and are required to take central nervous system medications, will there be any effects? Thank you!


Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned whether "pituitary tumors fall under cerebrovascular diseases..." Pituitary tumors are most commonly benign adenomas and are not classified as vascular diseases. They account for approximately 5-10% of all symptomatic intracranial tumors. L...

[Read More] Is Pituitary Tumor Considered a Cerebrovascular Disease?


Understanding Exploding Head Syndrome: Symptoms and When to Seek Help

Sleep issues In the past week, when lying down to sleep, I have experienced a sensation in my brain that feels like a mild electric shock. After this sensation, I can change positions or fall asleep normally. However, this has occurred about 2-3 times over the week. Yesterday, I ...


Dr. Jiang Junyi Reply:
Dear Mr. Shen, You mentioned that "when lying down to sleep, it feels like my brain has been lightly shocked by an electric current..." This may indicate a sleep disorder. Exploding Head Syndrome has two main causes: one is unstable brain waves or transitions in brain ...

[Read More] Understanding Exploding Head Syndrome: Symptoms and When to Seek Help


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